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Ivan Matsumoto
NPI 1689036816 · on the registry since 2016 · sole proprietor
Practice
- Address
- 444 W 54th St
Apt # 12
New York, NY 10019 - Phone
- (808) 226-3431
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York